Provider Demographics
NPI:1033322326
Name:AHMED, YASMIN ZANJABIL (MD)
Entity type:Individual
Prefix:MS
First Name:YASMIN
Middle Name:ZANJABIL
Last Name:AHMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GHAZALA
Other - Middle Name:
Other - Last Name:YASMIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5620 SAINT BARNABAS RD STE 360
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3628
Mailing Address - Country:US
Mailing Address - Phone:240-766-4552
Mailing Address - Fax:
Practice Address - Street 1:5620 SAINT BARNABAS RD STE 360
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3628
Practice Address - Country:US
Practice Address - Phone:240-766-4552
Practice Address - Fax:240-766-4502
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2013-02249207Q00000X
SC85421207Q00000X
VA0101280350207Q00000X
DCMD048949207Q00000X
GA84227207Q00000X
MDD0080625207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003236146AMedicaid